| NPI | 1295035418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 0550321) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28ri03132300) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |